Effects of Escharolomy as Abdominal Decompression on Cardiopulmonary Function and Visceral Perfusion in Abdominal Compartment Syndrome with Burn Patients

摘要

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are common after major abdominal trauma from a multitude of pathogenic mechanisms that include diffuse bleeding, clotted blood, placement of abdominal packs, tamponade, nonsurgical bleeding, bowel edema from aggressive crystalloid resuscitation, abdominal wall closure under tension, and other mechanisms.1 ACS can be fatal because acute elevation of intra-abdominal pressure (IAP) causes a specific syndrome of multiple organ dysfunctions characterized by decreased cardiac output, pulmonary dysfunction, splanchnic ischemia, elevated intracranial pressure, and acute renal failure. Previous investigators have established these adverse physiologic effects caused by ACS in clinical situations1"3 and in laboratory models.